| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $137.00 | $250.71 | $278.11 | |
Aetna
| Professional | $108.23 | $250.71 | $278.11 | |
BCBS
| Facility | $237.50 | $237.50 | $237.50 | |
BCBS
| Professional | $237.50 | $237.50 | $237.50 | |
Cigna
| Facility | $89.05 | $103.92 | $209.31 | |
Cigna
| Professional | $58.70 | $62.34 | $234.78 | |
United
| Professional | $57.54 | $82.20 | $205.50 |